Detection, Evaluation and Monitoring of Frailties in the Elderly (FRAGING) (FRAGING)
Detection, Evaluation and Monitoring of Frailties in the Elderly
The aging of the French population is a major public health issue. Frailty is a reversible clinical state between optimal healthy aging and pathological aging. Early detection of frailty makes it possible to identify people aged 65 or over who are at risk of developing or worsen dependency and to offer them appropriate medical and/or social care adapted to their needs. The multidimensional screening program known as "ICOPE" (for "Integrated Care of Older People") promoted by the World Health Organization (WHO) aims to prevent functional decline worldwide and improve the well-being of older people. To support healthy aging, 6 intrinsic abilities are to be screened according to ICOPE: visual impairment, hearing impairment, depressive symptoms, locomotor abilities, cognitive decline and vitality. This program is intended to be developed in each country and adapted to the territories of action. The Mauriac and Vichy community health basins have a proportion of elderly people (≥60 years old) that is much higher than regional and national data, justifying the regional and national data, justifying the chosen action territories. The epidemiological characteristics of the French population and of the action territory made it possible to add to the following themes to the ICOPE recommendations: socio-economic situation, assistance to caregivers, vaccinations, drug iatrogeny, alcohol consumption, cardiovascular risk and cancer screening. The ICOPE process is organized in 5 steps: a community screening and a relay to the general practitioner to ensure a follow-up, an primary care in case of abnormality, evaluated at 3 months and then 6 months, establishment of a plan of care if necessary, possible referral to a specialist and mobilization of community resources mobilization of community resources and support for caregivers if needed.
The hypothesis is that conducting a fragility screening in a rural area (Mauriac health (Mauriac health basin) and a semi-urban area (Vichy health basin) would allow an effective would allow an effective allocation of expenses. In more detail, the costs are direct medical, direct non-medical, indirect and intangible costs, and efficiency is measured by measured by the quality of life score (LEIPAD). The hypothesis is that the early detection of people's frailties and their management improves their quality of life
研究概览
详细说明
研究类型
注册 (预期的)
阶段
- 不适用
联系人和位置
学习地点
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Clermont-Ferrand、法国、63000
- CHU de Clermont-Ferrand
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- Person, man or woman, aged 65 years or more, who came to attend a day dedicated to the theme organized within the CPTS of Mauriac or Vichy by medical medical, paramedical, medico-social professionals and cultural and sports and sports associations.
- Living in the Mauriac or Vichy health basin.
- Able to give informed consent to participate in the research.
- Affiliation to a Social Security system.
Exclusion Criteria:
- People who have a pathological aging defined by a chronic disease chronic disease covered by the Long Term Affection (ALD).
- Persons under guardianship or curatorship.
- Refusal to participate in the study expressed by the person.
学习计划
研究是如何设计的？
设计细节
- 主要用途：放映
- 分配：不适用
- 介入模型：单组作业
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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实验性的：people aged 65 years or more
men or women, age Superior to 65 years
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questionnaire to evaluate fragility
To evaluate physical activity level
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Medico-economic relevance of early detection of frailty through a day dedicated to this theme organized in a rural and semi-urban area
大体时间：Baseline
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The costs include direct medical costs (costs of screening for frailty, post-screening management, avoided by early management); direct non-medical costs (out of pockets); indirect costs (caregiver opportunity costs) measured in euros
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Baseline
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Evaluation of precarity
大体时间：Baseline
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measured by the Evaluation of Precarity and Inequalities of Health in Health Examination Centers (EPICES) score (min: 0-max: 100; lower scores referring to good conditions, 30=threshold of precarity),
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Baseline
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Evaluation of psychological aspect
大体时间：Baseline
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measured by the psychological aspect measured by the dedicated questionnaire (PHQ-9) (min: 0-max: 27; lower scores referring to good conditions),
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Baseline
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Evaluation of quality of life
大体时间：Baseline
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measured by the quality of life score (LEIPAD) (min: 0-max: 132; lower scores referring to good conditions)
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Baseline
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Evaluation of caregiver
大体时间：Baseline
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measured by the caregiver questionnaire (MiniZarit) .
(min: 0-max: 7; lower scores referring to good conditions)
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Baseline
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Medico-economic relevance of early detection of frailty through a day dedicated to this theme organized in a rural and semi-urban area (Cost effectiveness).
大体时间：Baseline
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Effectiveness is measured by the quality of life score (LEIPAD) (min: 0-max: 132; lower scores referring to good conditions).
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Baseline
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Prevalence of frailty among people aged 65 or more in the Mauriac and Vichy community health regions.
大体时间：Baseline
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measured in pourcent (%)
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Baseline
|
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Prevalence of vaccination rate among people aged 65 or more in the Mauriac and Vichy community health regions.
大体时间：Baseline
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measured in pourcent (%)
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Baseline
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Prevalence of the rate of organized cancer screening among people aged 65 or more in the Mauriac and Vichy community health regions.
大体时间：Baseline
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measured in pourcent (%)
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Baseline
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Prevalence of the rate of risky alcohol consumption among people aged 65 or more in the Mauriac and Vichy community health regions.
大体时间：Baseline
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measured in pourcent (%)
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Baseline
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Prevalence of participants with a high cardiovascular risk factor among people aged 65 or more in the Mauriac and Vichy community health regions.
大体时间：Baseline
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measured in pourcent (%)
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Baseline
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Identify the determinants of frailty (physical, psychological, and associated factors) in people aged 65 years or more in a rural and a semi-urban population.
大体时间：Baseline
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measured by physical examination by physician
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Baseline
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To measure physical activity levels of 65 years or older in a rural and a semi-urban population
大体时间：Baseline
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measured by the questionnaire (ONAPS-Q) and by accelerometer (MET.minutes/week)
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Baseline
|
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To measure physical inactivity levels of 65 years or older in a rural and a semi-urban population
大体时间：Baseline
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measured by - sedentary time measured by the questionnaire (ONAPS-Q) and by accelerometer (minutes per day) (no scale)
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Baseline
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Modeling the flow of screened and identified frail participants who will be managed by type of frailty identified
大体时间：Baseline
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- Categorization of the health pathways followed by the study cohort (no unit of measure)
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Baseline
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Modeling the flow of screened and identified frail participants who will be managed by type of frailty identified (monte Carlo microstimulation)
大体时间：Baseline
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measured by - Monte Carlo micro-simulation that will model the flows of participants (no unit of measure)
|
Baseline
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合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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